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Integrating an ambient assisted living monitoring system into clinical decision-making in home care: an embedded case study

Lussier Maxime, Couture Mélanie, Moreau Maxime, Laliberté Catherine, Giroux Sylvain, Pigot Hélène, Gaboury Sébastien, Bouchard Kévin, Belchior Patricia, Bottari Carolina, Paré Guy, Consel Charles et Bier Nathalie. (2020). Integrating an ambient assisted living monitoring system into clinical decision-making in home care: an embedded case study. Gerontechnology, 19, (1), p. 77-92.

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URL officielle: http://dx.doi.org/doi:10.4017/gt.2020.19.1.008.00

Résumé

Background: In Quebec, home care administrators are increasingly open to using Ambient Assisted Living (AAL) technologies as part of services to better support care recipient with a major loss of autonomy. However, little information is available about how these technologies are integrated into clinical practice.

Research aim: The present revelatory embedded single-case study aimed to understand how AAL monitoring technologies were integrated in the clinical decision-making process of social and health care professionals to maintain older adults at risk of self-neglect at home (n = 3).

Methods: Multiple data collection methods were used for triangulation purposes: semi-structured individual and group interviews, encrypted data from monitoring technologies, medical records, and cognitive and functional evaluations. Data was analyzed using the approach of Miles, Huberman and Saldana (2004).

Results: Results show that AAL monitoring technologies were used by social and health care professionals as a means to collect additional and reliable data about home care recipients’ life habits, such as daily patterns related to eating, sleeping, personal care, inactivity and going outside. Professionals wanted to confirm or refute their own hypotheses before developing a comprehensive intervention plan. This information was then used to attribute home care services that correspond to the needs of the care recipient to optimise autonomy and security. Conclusion: Results showed that AAL monitoring technologies provide the professionals with information that would otherwise be inaccessible and are conceptualized as a means of using social and health care resources wisely in a context where resources are scarce.

Type de document:Article publié dans une revue avec comité d'évaluation
ISSN:15691101
Volume:19
Numéro:1
Pages:p. 77-92
Version évaluée par les pairs:Oui
Date:2020
Identifiant unique:10.4017/gt.2020.19.1.008.00
Sujets:Sciences naturelles et génie > Sciences mathématiques > Informatique
Département, module, service et unité de recherche:Départements et modules > Département d'informatique et de mathématique
Mots-clés:smart home, ambient assisted living, self-neglect, aging, activities of daily living, health monitoring, social and health care
Déposé le:10 févr. 2021 19:51
Dernière modification:10 févr. 2021 19:51
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